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World Class Care. ., Anytime, Ajiywhere 

Issue 8 
August 14, 2009 

Inside this Issue : 

Admiral's Call by the Surgeon 
General of the U.S. Navy 
Vice Admiral Adam M. 
Robinson, Jr. 

New TRICARE Regional Managed 
Care Support Contractors Selected 

Navy Medicine Personnel Receive 
First-of-its-Kind Training 


NHCP Caregivers Learn to Care for 
Themselves I 

Salvadoran Woman Travels the 
Distance for Service in Nicaragua 

NNMC Welcomes Home Comfort 6 

Surgeon General Defines 'Master 
Physician' to Graduates 

NEPMU-2 to Test for HlNl 

New Editor-in-Chief Named. 

Effective Friday, July 31, Valerie 
Kremer takes the helm as the new editor 
for Navy-Marine Corps Medical News 
Newsletter — MEDNEWS. Valerie 
became a full-time staff member at 
BUMED this past June 2009. She has 
been with the External Communications 
Directorate before as a intern working 
in both Public Affairs and Legislative 
Affairs. Valerie has proven to be a 
valuable asset and a true team member 
in every sense. If you have submissions 
for MEDNEWS, please email them to 
our new editor at: I 

Valerie.Kremer @ . 

Navy and Marine 
Corps Medical News 

A Public Affairs Publication of the Bureau of Medicine and Surgery 

NH Bremerton Corpsman Selected 
as Navy's IDC of the Year 

By Shayna Brouker, Naval Hospital 
Bremerton Public Affairs 

BREMERTON, Wash. - Hospital 
Corpsman First Class Stephanie 
Minix was awarded Independent 
Duty Corpsnnan of the Year from 
amongst every Navy-wide 
shore- based IDC. 

Serving in Iraq with the 1^^ 
Supply Battalion, USMC, from 
February to September 2008, Minix 
was a self-sufficient font of Navy 
Medicine knowledge and ability 
during her time as an Individual 
Augmentee - just as an IDC is 
trained to do in the field. 

Minix's duties included handling 
patient care, administrative, and 
logistical duties. She conducted 
advanced first aid and basic life 
support, as well as nursing duties. 

minor surgeries, basic clinical and 
laboratory procedures, and numer- 
ous medical and health care needs 
ranging from routine to emergency. 
Additionally, as an IDC in the field, 
and especially in the austere, rustic 
condition of Iraq, she was also in 
charge of conducting and directing 
preventive medicine, sanitation and 
hygiene checks, and industrial 
health surveillance programs. 

"Without the leadership of a 
medical officer," explained Minix, 
"an Independent Duty Corpsman 
must be ready to handle anything 
thrown their way and make do with 
whatever few materials or facilities 
they have." 

Minix fulfilled her multiple roles 
and then some as the sole medical 
provider for over 2,000 Marines, 

(Continued on page 3) 

BREMERTON, Wash. - Hospital Corpsman First Class Stephanie Minix, on I A duty to Iraq with 
1st Supply Battalion, USMC, provides a soothing and caring hand in medically treating a local 
Iraqi child outside of Al Fallujah as part of her Independent Duty Corpsman responsibilities on 
deployment. Minix, from Naval Hospital Bremerton, was recently named the Navy's 
Independent Duty Corpsman of the Year (Courtesy photo). 

August 14 

Page 2 

Admiral's Call by the Surgeon General of the U.S. Navy 
Vice Admiral Adam M. Robinson, Jr. 

August Is National Immunization 
Awareness Month 

August is National Immunization 
Awareness Month and it is an 
appropriate time to focus our 
attention on this important topic. 
Vaccines are among medicine's 
most significant accomplishments, 
offering safe and effective 
protection against infectious 
diseases. Immunizations not only 
help protect individuals, they also 
serve as the cornerstone of our 
public health system protecting 
entire communities by preventing 
or reducing the spread of the 

Force Health Protection is Navy 
Medicine's primary mission. 
Fundamental to this priority is 
ensuring a fit and healthy force 
ready to deploy world-wide in 
support of a full range of opera- 
tions, from combat to humanitarian 
assistance. One of the most impor- 
tant ways we keep our Sailors and 
Marines healthy is ensuring they 
have the proper immunizations. 
Deployments can present health 
challenges and immunizations are 
fundamental to help reduce risk of 
illness and injury. 

The outbreak of a novel 
pandemic strain of influenza, known 
as HlNl, has understandably 
heightened awareness and concern 
throughout the world. HlNl is a 
new influenza virus first detected in 
the United States in April 2009. It 
has spread world-wide and affected 
vast numbers of people. Military 
Medicine, along with public health 
experts at all levels of federal, state 
and local government, are actively 
engaged in this critical issue. 

Preparations are already 
underway for the upcoming sea- 
sonal influenza program. Navy 
Medicine has published information 
regarding the accelerated schedule 

for this year's seasonal flu vaccina- 
tions in order to potentially accom- 
modate an additional immunization 
against HlNl. It is important to 
understand that influenza is not the 
common cold. Influenza can be a 
severe, life-threatening disease and 
getting an annual influenza vaccine 
protects many people from getting 
the disease or becoming severely ill 
from it. Immunization remains the 
primary method of reducing the 
incidence of influenza illness and its 
complications. The flu vaccine not 
only helps protect vaccinated 
individuals, but also protects entire 
communities by preventing and 
reducing the spread of the disease. 

What can people do to protect 
themselves against the seasonal flu 
virus in addition to vaccination? 
Navy Medicine follows the CDC 
recommendations to: 

• Cover your nose and mouth 
with a tissue when you cough 
or sneeze. Throw the tissue in 
the trash after you use it. 

• Cough or sneeze into your 
upper sleeve if you don't have 
a tissue. 

• Wash your hands often with 
soap and water, especially after 
you cough or sneeze. Alcohol- 
based hands cleaners are also 

• Avoid touching your eyes, nose 
or mouth. Germs spread that 

• Stay home if you get sick. CDC 
recommends that you stay 
home from work or school and 
limit contact with others to 
keep from infecting them. 

Throughout our history, 
vaccines have protected our troops 
from dangerous infections and 
military medicine continues to be 

a leader in vaccine research and 
development. Our Navy Medicine 
experts are on the forefront of iden- 
tification, detection, surveillance 
and control of infectious diseases 
around the world. Their efforts are 
vital to protecting Sailors and 
Marines world-wide. 

Since family readiness is force 
readiness, family members must 
also pay close attention to ensure 
they have their all required immuni- 
zations. August is an especially 
good time with another school year 
beginning and college-age students 
leaving for their campuses. Take 
time to make sure all family 
members are up-to-date on all 
required vaccinations. If you have 
questions, please ask your health 
care provider. 

Additional information about 
military vaccines is available at . Both the CDC 
and U. S. Food and Drug Admini- 
stration are also updating pertinent 
influenza information at 
www.flu.qov and www.fda.qov , 
respectively. Navy Medicine will be 
monitoring the seasonal influenza 
virus carefully over the coming 
weeks and months and will be 
proactive in developing contingency 
plans to address any public health 
issues as needed. 

Got News? I f you'd like to submit an article or have an idea for one, 
contact MEDNEWS at 202-762-3160, fax 202-762-1705 

August Ij 


New TRICARE Regional Managed Care Support Contractors 

TRI CARE Press Release 

FALLS CHURCH, Va. - The Department of Defense 
( DoD) announced in J uly the selection of new TRI CARE 
Managed Care Support (MCS) contractors for the North, 
South and West TRICARE regions in the United States. 

This is the third generation (T-3) of TRICARE 
nnanaged care support contracts. They are worth an 
estinnated $55.5 billion over the base and five options 
periods. Transition from the current contracts is sched- 
uled to begin immediately, with the start of health care 
delivery under the new contracts anticipated to be April 
1, 2010. The transition will occur during the base period 
and health care delivery will begin with the first option. 

The TRICARE West region retains its current 
contractor, TriWest Healthcare Alliance Corp. The 
selected contractors in both North and South are new. 

Aetna Government Health Plans, Hartford, Conn., is 
selected for the North Region where Health Net Federal 
Services is the current contractor. UnitedHealth Military 
& Veterans Services, Minnetonka, Minn., is selected for 

the South Region where Humana Military Healthcare 
Services is the current contractor. 

States included in each region and other contract 
information can be found at a special Web page at http:// 
www.tricare. mil/T3contracts . 

TRICARE Management Activity (TMA) is the Defense 
Department activity that administers the health care plan 
for 9.4 million members of the uniformed services, retirees 
and their families worldwide. MCS contractors provide 
health, medical and administrative support services to 
eligible beneficiaries in each of the three TRICARE regions 
within the United States. 

"We expect all of our managed care support contrac- 
tors to provide top quality health care and the highest 
possible customer satisfaction," said Ellen Embrey, who is 
the acting director of TMA, and is also performing the 
duties of the assistant secretary of defense for health 
affairs. "Delivering quality health care to our nation's 
heroes and their families is our number one priority - with 
a special emphasis on our wounded warriors." 

Bremerton Corpsman continued... 

(Continued from page 1) 

Other active duty personnel, 
civilians and Iraqi forces. Despite 
the long days of typically working 
from 16 hours to around the clock, 
she treated over 100 cases a week 
and still found time to organize 
humanitarian missions to treat local 
Iraqi women and children, helping 
win the hearts and minds of the 

Her record boasts a 100 percent 
survival rate that defied would-be 
fatal diseases and injuries. She 
treated 54 emergency cases, and 
46 of the injured Marines and Iraqi 
personnel were able to return to full 

Her most challenging case, she 
said, was treating a diabetic 
ketoacidosis (an acute, major, 
life-threatening complication of 
diabetes) during a sandstorm. With 
no lab support and no electricity, 
she resorted to using a dipstick to 
check the patient's glucose levels, 
which were dangerously low. If not 
for her timely and flexible medical 
assistance, the patient could very 
well have been lost. 

According to Minix, now that she 

is back at Naval Hospital 
Bremerton, the hardest part of her 
job isn't providing timely patient 
care in the field, it's more dealing 
with administrative issues. But an 
IDC is also a teacher, mentor and 
tutor. It is her duty to provide 
education to junior medical and all 
nonmedical personnel, along with 
serving primarily as a non-physician 
health care provider. 

"I come to work worrying about 
the well-being of my docs, from 
their morale to their family life. 
Sometimes I have to be involved in 
their personal lives," she said. "It's 
a never ending job. My cell phone is 
never off on the weekends. There's 
not one weekend it doesn't go off, 
whether it's someone with trouble 
or just a question." 

Her dedication to mentorship is 
confirmed by the litany of honors 
earned by her proteges. Of her 
Sailors and five assigned proteges, 
one advanced to E-5, 16 enrolled in 
college, two were selected as Blue- 
jacket of the Quarter; one was se- 
lected as J unior Sailor of the 
Quarter; one as Senior Sailor of the 
Quarter and one as Bluejacket of 
the Year. They also earned two 

(Continued on page 5) 

Navy and Marine Corps Achieve- 
ment Medals and one Flag Letter of 

"I learned as a baby corpsman 
you have to train the person who's 
going to replace you. Eighty percent 
of what I learned was when I was a 
baby corpsman," she said. "The 
only thing separating me from a 
baby doc is the numbers behind my 
name. I have a little more responsi- 

Minix was raised in a military 
family and joined the Navy after 
deciding that college wasn't for her. 
She had witnessed medical techni- 
cians and hospital corpsmen take 
care of her ill father for 11 years 
until his death when she was 16. 
Inspired by their compassion, she 
decided to become a corpsman. 

In her 13-year career, she has 
received two Navy Commendation 
Medals, three Navy and Marine 
Corps Achievement medals, a Navy 
Unit Commendation and a 
Meritorious Unit Commendation, 
among others. She has also earned 
a Master of Arts Degree in 
Emergency Management and 
Preparedness and a Bachelor of 
Science Degree in Health Sciences. 

I Issue? 
August 14 

Page 4 

Navy Medicine Personnel Receive First-of-its-Kind Training 

By Lance Cpl. Damien Gutierrez, 
Camp Pendleton Public Affairs 


More than 100 Navy corpsman, 
doctors and nurses preparing for 
upcoming individual deployments 
completed a rigorous, first-of-its 
kind, two-week course directed by 
Navy Medicine Support Command's 
Naval Expeditionary Medicine 
Training Institute (NEMTI) on Camp 
Pendleton that concluded with a 
field training exercise July 9. 

The course included the Tactical 
Combat Casualty Course (TCCC), 
Fleet Hospital and Expeditionary 
Medical Facility (EMF) pre- 
deployment training, and an 
Improvised Explosive Device (I ED)/ 
Convoy Operations Security 
Training Course designed to 
improve skills in recognizing subtle 
signs of the presence of an I ED. 
The Navy Medicine students - who 
will deploy to EMF Kuwait or 
Djibouti, Africa - were also trained 
in medical sustainment and combat 
survival techniques. 

"This is a great way for our 
students to get scenario training," 
said Capt. Mitchell Dukovich, NEMTI 
officer in charge. "This is the last 
stop before going on deployment, 
and it is our job to work out any 
kinks they might have. After the 
students receive this training, they 
will be able to identify and quickly 
assess situations they might face 
while on deployment." 

All medical personnel assigned 
to EMF Kuwait or EMF Djoubti are 
eligible to attend NEMTI training. 
Students attending the school vary 
from Navy physicians, nurses and 
hospital corpsmen, to non-medical 
Navy support personnel and 

"I feel really fortunate to be a 
part of the school," said Cmdr. 
Deborah Roy, a Navy nurse. "This is 
a terrific way to get everyone 
together and practice as a team." 

Camp Pendleton is the only 
base, and NEMTI the only com- 
mand, that provides this specialized 

"Camp Pendleton's environment is 
one found nowhere else in the 
military, and this is something we 
must take advantage of," said 

It is the responsibility of all 
instructors at NEMTI to identify and 
provide assistance to any students 
who may be having difficulties with 
the curriculum. This way when they 
are sent off into theatre, the 
medical personnel are ready to 
handle a variety of situations with 

"Our instructors teach at a high- 
level of expertise and have had a 
tremendous amount of deployment 
experience," said Dukovich. "They 
are a tremendous asset to this 
institution and are crucial to its 

TON, Calif. - (Top to bottom) Hospital 
Corpsman 2nd Classjayson Rosa, 
deploying to Expeditionary Medical 
Facility (EMF) Kuwait; Lt. J.G. Joy Smart, 
a trauma nurse deploying to EMF 
Djbouti; and Hospital Corpsman 2nd 
Class Lisa T. Gomez, deploying to EMF 
Kuwait; pull themselves out of a 
simulated improvise explosive device 
(explosion during the Navy Expeditionary 
Medical Training Institute (NEMTI) field 
training exercise held at Camp Pendle- 
ton, Calif., July 9. U.S. Marine Corps 
photo by Lance Cpl. Damien Gutierrez 

For more information about 
NEMTI , go to www. med. navy. mil/ 
sites/ navmedmpte/nomi/nemti or 
contact the NEMTI Training Depart- 
ment at 1-888-873-1841. 

RIO DE JANEIRO, Brazil A Hospital 
Corpsman demonstrates how to apply a 
splint on a broken arm to Brazilian Navy 
sailors aboard the amphibious dock landing 
ship USS Oak Hill (LSD 51) J uly 21. U.S. 
Army photo by Pvt. Cory Torres 

August 1^ 


NHCP Caregivers Learn to Care for Themselves 

By Mass Communications Specialist 
2nd Class (SW) Paul Sheets, Naval 
Hospital Camp Pendleton Public 
Affairs Office 

PENDLETON, Calif. - Health care 
providers at Naval Hospital Camp 
Pendleton have a new tool to help 
thenn help themselves. 

Based on the Navy's 
Operational Stress Control 
program, Navy Medicine has 
developed the Caregiver 
Operational Stress Control 

The program, aimed at 
combating occupational stress and 
burnout, is being rolled out Navy 

Training was held at NHCP for 
all hands J uly 7. An all day session 
was held J uly 6 for departmental 
representatives who received more 
extensive training and will manage 
the program at the departmental 

"The idea behind having 
someone in the work center with 
specialized training is so they will 
be better equipped to appropriately 
respond to signs of distress or 
burnout," said Scott Roney, NHCP 
pastoral care counselor and NHCP 
cose team leader. 

Some signs are a loss of interest 
in social or recreational activities. 

irritability, lowered morale, sleep 
problems, or other changes. 

"Anyone experiencing high 
levels of stress or burnout can be 
pulled aside by a caring shipmate to 
talk and then be steered in the right 
direction for assistance." 

Assistance comes in many forms 
such as informal confidential 
one-on-one counseling from a 
stress control team member, a 
departmental assessment of 
working conditions or specialized 
departmental training. 

Military treatment facilities 
located on large operational bases 
such as Camp Pendleton provide 
medical care to forces that have 
been going into combat frequently 
for the last few years. 

"We service a very large 
operating force where Marines are 
on their third, forth, or fifth 
deployments and there's a lot of 
combat related stress, trauma and 
injury," Roney said. "When caring 
for a population like that, the stress 
inevitability spills over to the 

The cose program is designed 
to enhance the resilience of 
caregivers to the demands of 
exposure to trauma, wear and tear, 
loss and inner conflict associated 
with providing care for today's 
military, Roney said. 

"As a command, we're all under 
stress and this is a great tool to 
help my staff that shows them 
there are resources available," said 
Lt. j.g. Danilo Mendoza, RN, 
assistant division officer. Maternal 
Child Infant Nursing. 

The program centers around 
three key messages: early 
recognition, peer support and early 
help. However, there is a stigma 
involved with talking about this 
type of stress. 

"Navy medical personnel are 
really good at the code of silence; 
we just don't talk about this stuff 
and how it's affecting us," said 
Capt. Richard Westphal, a mental 
health clinical nurse specialist with 
The Navy Bureau of Medicine and 
Surgery. "We have to recognize 
when a shipmate is in distress, we 
have to break the code of silence 
and get them connected to the 
appropriate level of support." 

The cose program is based on 
a support system that uses the 
Navy's and individual units' 
strengths to improve mission 
readiness by training the majority 
of personnel that are okay to help 
those who are temporarily 
non-mission ready. 

"The strength of the Navy is our 
shipmate mentality," said Westphal. 
"We need to use our strengths to 
help each other." 

TRICARE continued... 

(Continued from page 3) 

"Our military hospitals and clinics continue to be 
at the center of our health care delivery system," said 
TMA Deputy Director Rear Adm. Christine Hunter. "At 
TRICARE we are fully committed to augmenting that 
system with high quality care for all beneficiaries." 

Although two new contractors have been selected, 
the three-region structure in the United States and all 
of the TRICARE benefit options offered under the 
current contracts remain the same. 

The T-3 contracts feature financial incentives to 
encourage exceptional customer service; high quality 
care; detection of fraud, waste, and abuse; increased 
electronic claims processing; better program 
management, improved preventive care and cost 
savings. To apply these incentives fairly, TRICARE has 
improved methods to measure and assess network 
provider, beneficiary, and military treatment facility 
commander satisfaction. 

As with the current contracts, the new contracts 
require prime service areas around Military Treatment 
Facilities and Base Realignment and Closure (BRAC) sites. 
Under T-3, some prime service areas may be discontinued, 
and as a result some beneficiaries will no longer be offered 
Prime. These beneficiaries still retain TRICARE coverage 
under the Standard or Extra plan. TRICARE Standard is 
the most flexible of the TRICARE options and is available 
everywhere. TRICARE Extra is a discount given to 
TRICARE Standard beneficiaries when they use a TRICARE 
network provider. Officials remind beneficiaries that both 
TRICARE Prime and Standard are excellent options with 
high satisfaction rates. 

"TMA and all the managed care contractors are 
dedicated to making a smooth transition with minimal 
impact on beneficiaries," said Hunter. "We will ensure that 
key information flows to all of our beneficiaries and 
stakeholders, in particular those affected by the changes 
in contractors or providers." 

I Issue? 
August 14 

Page 6 

Salvadoran Woman Travels the Distance for Service in Nicaragua 

By Airman 1st Class Benjamin Strat- 
ton, USNS Comfort Public Affairs 

CORI NTO, Nicaragua - A Sal- 
vadoran mother drove more than 
six hours here from La Union, El 
Salvador, seeking treatment for her 
eight month old son who was born 
with crossed eyes. 

"The type of procedure we 
performed for this little boy is 
common," said Capt. Kristen Zeller, 
ophthalmologist onboard hospital 
ship USNS Comfort (T-AH 20). 

The procedure may be common, 
but for this mother the future of her 
baby means the world. 

"A month after his birth I real- 
ized he was cross-eyed," said Maria 
Concepcion Alegeta, mother of the 
little boy named Diego. "I want him 
to see well and live a normal life." 
For a mother to want a normal life 
for her son is a perfectly ordinary 
concept. Yet, what mother goes the 
distance and travels for more than 
six hours after having been told her 
son wouldn't be treated due to 
mission limitations in La Union? 
Maria did. 

"The procedure performed was 
a bilateral medial rectus recession. 

a form of strabismus surgery," 
Zeller said. "The overacting muscles 
are isolated, tied with suture, cut 
off the eye, and repositioned a few 
millimeters back, depending on how 
much crossing there is. In their new 
position, the muscles can't pull the 
eye in as much, and the eyes are 
straightened. This allows the eyes 
to work together, and fosters 
normal visual development as 
Diego grows older." 

"I have faith in God everything 
will be alright," Alegata said. "I feel 
as though this team serves as 
miracle workers and we are 
receiving a huge gift." 

CP09 combines U.S. military and 
interagency personnel, non- 
governmental organizations, civil 
service mariners, academic and 
partner nations to provide medical, 
dental, veterinary and engineering 
services afloat and ashore alongside 
host nation personnel. 

Thanks to the many capabilities 
Comfort provides the mission, sur- 
geries such as this one are made 

Despite rough seas and rolling 
equipment, the surgery went off 

CORI NTO, Nicaragua - Capt. Kristen Zeller, 
ophthalmologist onboard hospital ship USNS 
Comfort (T-AH 20), with the help of Hospital 
Corpsman 3rd Class Michael Peterson, surgical 
technologist onboard Comfort, correct an 
eight-month-old Salvadoran boy's crossed 
eyes in the operating room of Comfort J uly 7. 
U.S. Air Force photo by Airman 1st Class 
Benjamin Stratton 

without a hitch and answered the 
prayers of yet another partner in 
the America's. 

"I am very grateful for all the 
people who have had a role in this 
mission," Alegata said. "There are 
lots of people who need help here, 
am really happy to have been able 
to come here and receive the help. 

National Naval Medical Center Welcomes Home Comfort Crew 

By Mass Communication Specialist 3rd Class Timothy 
Wilson, J ournal staff writer 

NNMC, BETHESDA, Md. - Navy Surgeon General 
ViceAdm. Adam Robinson, J r.. National Naval Medical 
Center Commander Rear Adm. Matthew Nathan and 
well-wishers welcomed back USNS Comfort crewmem- 
bers in the Laurel Clark Memorial Auditorium earlier this 
month. Comfort officially completed her four-month 
humanitarian mission in Latin American and the 
Caribbean J uly 31 when First Lady Michelle Obama 
welcomed the crew home at Naval Station Norfolk. 

"Thank you very much. It is a wonderful thing to see 
you out there," Robinson said. "[Humanitarian missions] 
are something critical for the Navy and critical for the 
nation and I give you the heartiest congratulations on a 
job well done." 

Comfort's mission. Continuing Promise 2009, was a 
humanitarian and civic mission to provide assistance in 
Antigua, Barbuda, Columbia, the Dominican Republic, El 
Salvador, Haiti, Nicaragua and Panama. 
Services provided included medical, dental, veterinarian, 
educational and civic action programs both ashore and 

A collaborative effort between the U.S. military 
forces, non-governmental agencies and host nations 

established partnerships and demonstrated goodwill 
showing America's lasting commitment to countries in the 
Caribbean and Latin America. 

"It was an interesting trip. We got to work with many 
different branches of the military, as well as non- 
governmental organizations," said Cmdr. Shawn Safford, 
a pediatric surgeon onboard Comfort. "It was a neat 
experience [being with] that group of people and seeing 
how we interact with each other to really make a 
difference. It was amazing." 

Comfort treated 100,049 patients, conducted 1,657 
surgeries and treated 13,238 animals. The crew 
completed projects ranging from minor renovations and 
building new schools to community relations projects and 
public relation campaigns. 

"Hard work, long days, but thinking of the stuff we 
did, the patients that we saw and the service we 
provided, I'm really glad I dealt with it," said Hospital 
Corpsman 2nd Class John Martinez. 

Martinez worked in optometry onboard Comfort. One 
satisfying part of his job was having patients come to the 
clinics who could hardly see and watching them leave 
with smiles and glasses on their faces, it makes a big 
impact on your life, Martinez said. 



Surgeon General Defines 'Master Physician' to Graduates 


By Loren Barnes, Naval Hospital 
Jacksonville, Fla. Public Affairs 


setting befitting the physician's 
"sacred calling," Surgeon General 
of the Navy Vice Adnn. Adann M. 
Robinson, Jr. addressed guests, 
graduating residents, and interns at 
the J ax Family Medicine Residency 
Program graduation J une 30. The 
ceremony took place at Naval Air 
Station Jacksonville Fla.'s Chapel. 

The 10 graduating residents 
were: Lt. Ryan Brenes, Lt. Sonya 
Brock, Lt. Samuel Caoile, Lt. Emily 
Grossman, Lt. Gmdr. Lester, Lt. 
Gmdr. Ramirez, Lt. Marisol Reavis, 
Lt. Adam Sanborn, Lt. Monique 
Smith, Lt. Natalie Tussey 

There were 12 interns whom 
also graduated. The interns are Lt. 
Paul Bures, Lt. Orlando Gabera, Lt. 
Matt Fitzgerald, Lt. Remi Lai, Lt. 
Leslie Lucas, Lt. Tara O'Gonnell, Lt. 
James Ries, Lt. Randall Scott, Lt. 
Dustin Smith, Lt. James Walton, Lt. 
Ghrisopher Worley, and Lt. John 

Guests were welcomed to the 
38^^ annual graduation ceremony 
by Naval Hospital Jacksonville 
Gommanding Officer Gapt. Bruce 

"This celebrates your hard work 
and dedication to excellence and 
pursuit of lifelong learning," Gilling- 
ham said. "The time of Navy Medi- 
cine has never been as vital to the 
defense of our nation and it is reas- 
suring to know that there are men 
and women of your caliber who will 
be out there serving around the 
world making sure our Soldiers, 
Marines, Airmen, Sailors and Goast 
Guardsmen are well cared for." 

He also honored the contribu- 
tions of all the graduates' families 
and the program's faculty. Singled 
out were Gapt. Thomas K. Moore, 
Family Medicine Program Depart- 
ment Head, and Gmdr. Richard W. 
Sams II, Family Medicine Residency 
Program Director. Also honored was 
Vicky Wolff, Graduate Medicine 
Education Goordinator. 

"To become a doctor, is to ac- 
cept one of the highest callings in 

this world," Robinson said. "To be 
responsible for the health and well- 
being of fellow human beings, to be 
a confident and a friend during 
times of joy and times of desolation 
is both an honor and a burden." 

He also reminded them that the 
responsibilities they shoulder are 
especially demanding in times of 
war - and "we truly are in a time of 
war." The Surgeon General also 
asked for humility in this life-long 

"As you finish your training al- 
though you wish to heal you can 
not. You've been told only God can 
heal. But make no mistake about 
this you can always help. You can 
always be there for your patients 
and their families," he said. "You 
can always be a guide for the multi- 
tude of transitions and transforma- 
tions that all of us are destined to 
make. You can always sit with your 
patients and offer them the hand of 
a friend and the comforting heart of 
a fellow soul even when the reme- 
dies, the surgeries, and the medi- 
cines of this world have failed." 

The Surgeon General also told 
them they must be sure to allow 
time and precedence for their fami- 
lies and themselves. He also said 
they must know their physical and 
emotional limitations. The essence 
of what physicians do transcends 
the medicine - the training and 
professional skills Robinson said. 
"The spiritual bond we main- 
tain with our patients is often the 
only salve that is present. This 
bond is fragile. This bond is sacred. 
This bond must be nurtured to re- 
main vibrant and effective," he 
said. "The physician who learns this 
understands the essence of the 
healing art. That is the art of medi- 
cine. That person is truly a master 

Graduating Resident Lt. Natalie 
Tussey said after the ceremony that 
she is "excited if a little anxious 
about her new assignment to 
Branch Health Glinic, Lake Hurst 

"I liked what the Surgeon Gen- 
eral said about being spiritually 
ready and keeping your family close 
to you. That's what is important," 

she said, "that's what keeps you 

"Like the Biblical prophet 
Isaiah, you are being called upon 
to do an equally sacred task. You 
must choose your answer very 
carefully. Your choice will define 
what you do with your career and 
your life," Robinson said in his 
concluding words to the graduating 
physicians. "And the history of 
medicine's contributions and the 
history of military medicine's contri- 
butions to human-kind are bound to 
the choices of those who have 
answered this divine call before 
you. We now await your arrival. 
This is your day. This is your time. 
Go with God's grace." 

The training program at Naval 
Hospital Jacksonville was initiated 
as a two-year post- internship 
training program in General Practice 
in 1963, restructured into a Family 
Medicine Residency in 1969 and 
granted Residency Program 
approval in 1971 making its 
graduates eligible for Family 
Medicine Board Gertification. Full 
accreditation from the Accreditation 
Gouncil on Graduate Medical 
Education was granted in 1974. 
Since 1971, 340 Family Medicine 
physicians have graduated. Over 98 
percent of the graduating residents 
have obtained Board Gertification 
within one year of graduation. 

JACKSONVILLE, Fla. Surgeon General 
of the Navy Vice Adm. Adam Robinson M. 
Robinson (left) and Naval Hospital Jackson- 
ville Commanding Officer Gapt. Bruce 
Gillingham present Lt. Natalie Tussey her 
Certificate of Residency. U.S. Navy photo 
by Hospital Gorpsmen S'^ Glass Jermaine 

10th Battlefield Healthcare 
The Next Generation in Treatment, Training, and Techinology 

September 14 — 15, San Diego 

Gain invaluabimmmmmmmmmimmmmmmmat medicine from 
unparalled speakers including: 

Rear Admiral i\/latthew Natiian, USN, Commander National Naval Medical Center 
Bethesda, Md. 

Rear Admiral Christine M. Bruzek-Kohler, USN, Commander Navy Medicine West/Naval 
Medical Center San Diego ^H 

Colonel Gregory Boyle, USMC, Commanding Officer, Marine Corps Wounded Warrior 
Regiment ^M 


Attendees can receive CME and Continuing Education Credits! ^M 
If you are interested in attending this conference, call 212-885-2683 ^ 

(This conference is beina provided bv the Institute for Defense and Government Advancement (IDGA)) 


From Naval Medical Center 
Portsmouth Public Affairs Office 

PORTSMOUTH, Va. -The Navy 
Environmental and Preventive 
Medicine Unit No. 2 unveiled and 
dennonstrate new equipment to test 
for HlNl (swine) influenza J uly 16. 

NEPMU-2 is the first Navy lab on 
the East Coast to have the 
capability to test human samples 
for HlNl. The lab is a unit of Naval 

Bureau of Medicine and Surgery 

2300 E Street NW 
Washington, DC 20372-5300 

Public Affairs Office 

Phone: 202-762-3160 

Fax: 202-762-1705 

Medical Center Portsmouth located 
at Norfolk Naval Station. It will 
support Fleet units and operational 
forces as well as the 14 Navy 
Medicine East hospitals by providing 
FDA-approved confirmatory testing 
for HlNl. NEPMU-2 will augment 
the Naval Health Research Center in 
San Diego, state health 
departments and the Centers for 
Disease Control labs in HlNl 

NEPMU-2 is in the final phase of 
evaluating the new processes 
before HlNl analysis begins. The 
lab is certified and follows all 
federal laboratory regulations to 
ensure public safety. Analysts wear 
booties, lab coats, eye protection, 
and double gloves at all times when 
running samples. The new testing 
includes automated stations which 
can detect DNA and RNA unique to 
the HlNl virus. A sample can be 
run in about three hours with a 
typical receipt- to- results response 
of 48 to 72 hours. The short 

turnaround allows doctors to more 
quickly initiate proper treatment 
and other public health measures, 
such as increased hand washing, 
wearing a mask or isolating those 
affected, if needed. 

In addition to the technicians at 
NEPMU-2, the unit will cross-train 
lab techs from NMCP's clinical lab to 
augment staffing if a surge of 
samples comes in. Initially, the lab 
will have the capacity to test 
approximately 50 samples a day 
and 300 samples per week. 

HlNl testing is just one of 
NEPMU-2's duties. The unit will 
continue its primary mission to 
support the Navy and U.S. Marine 
Corps with specialized preventive 
medicine and occupational health 
expertise, and advanced 
deployment medical surveillance 
capabilities. It also serves as a 
detection lab, providing chemical/ 
biological/ radiation agent detection, 
and identification capability to the 
war fighter.